Individual
MRS. LAURA EVANS
Active
Individual
MRS. LAURA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
RN713742
PA
363L00000X
Nurse Practitioner
SP022418
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP022418
PA
Other
Enumeration date
08/07/2020
Last updated
12/09/2025
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